AOSSM 2022 Annual Meeting Recordings - no CME-The Impact of Graft Choice on Return to Sport Testing After Adolescent ACL Reconstruction

The Impact of Graft Choice on Return to Sport Testing After Adolescent ACL Reconstruction

Video Transcription

Video Summary

The video discusses the impact of graft choice on return-to-sport testing after adolescent ACL reconstruction. The most commonly used autograft option is the hamstring tendon, which has low rates of donor site morbidity. Bone patellar tendon bone grafts are associated with better return-to-sport rates and lower rates of graft rupture compared to hamstring autograft, but with higher rates of anterior knee pain. There is limited data on bone quadriceps tendon use in adolescents, but some studies show similar return-to-sport and strength rates compared to bone patellar tendon bone. The study analyzed 105 patients and found that patients with hamstring autografts had lower hamstring strength and were less likely to be cleared for sport at one year compared to bone quadriceps tendon and bone patellar tendon bone autografts. No significant differences were found between bone quadriceps tendon and bone patellar tendon bone autografts. The study suggests the need for further research to assess different factors and outcomes. No additional credits were mentioned in the video.

Asset Caption

Brendan Shi, MD

Keywords

graft choice

return-to-sport testing

adolescent ACL reconstruction

autograft options

hamstring tendon